Intrapericardial and retrocardial implantation of implantable cardioverter-defibrillator lead in a child with type 3 long QT syndrome.
Pediatr Cardiol
; 32(7): 1048-52, 2011 Oct.
Article
in En
| MEDLINE
| ID: mdl-21818650
ABSTRACT
A 6-year-old girl with type 3 long QT syndrome was safely and successfully implanted with an implantable cardioverter-defibrillator (ICD) system. Prior to implantation, she had experienced uncontrollable life-threatening arrhythmia in spite of high-dose administration of mexiletine. An ICD coil lead for transvenous use was placed in the intrapericardial and retrocardial space and was connected to a generator placed in front of the posterior sheath of the right abdominal rectal muscle. Administration of a beta-blocker in addition to atrial pacing almost completely eliminated the patient's life-threatening arrhythmia attacks. Intrapericardial and retrocardial implantation of ICD coil leads might be useful for children.
Full text:
1
Database:
MEDLINE
Main subject:
Pericardium
/
Long QT Syndrome
/
Defibrillators, Implantable
/
Electrocardiography
/
Heart Rate
Type of study:
Observational_studies
/
Prognostic_studies
Limits:
Child
/
Female
/
Humans
Language:
En
Journal:
Pediatr Cardiol
Year:
2011
Type:
Article
Affiliation country:
Japan